Organization · Type 2 NPI
Fresh Start Outreach
Substance Use Disorder Rehabilitation Clinic/Center · South Chesterfield, VA
NPI number
1356104145
Active
Practice location
1830 Ruffin Mill Cir Ste B
South Chesterfield, VA 23834-5927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1356104145
Fresh Start Outreach's National Provider Identifier is 1356104145, issued on Feb 5, 2024. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in South Chesterfield, VA. The record was last updated on Jul 30, 2024.